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Helping patients with symptoms other than pain 11: Issues around resuscitation

Intermediate Level

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FURTHER READING

Key documentation

British Medical Association. The Impact of the Human Rights Act 1998 on Medical Decision Making. London: BMA, October 2000.

British Medical Association. Withholding or Withdrawing life-prolonging medical treatment, 2nd ed. London: BMA Books, 2001.
(Second edition available in full on www.bmjpg.com/withwith/ww.htm)

Decisions relating to cardiopulmonary Resuscitation: a joint statement from the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. Journal of Medical Ethics, 2001;

Decisions Relating to Cardiopulmonary Resuscitation: a joint statement from the British Medical Association, the Resuscitation Council (UK), and the Royal College of Nursing. London: BMA, March 2001.
(Available in full in Guidelines section on www.bma.org.uk)

Mencap. Considerations of ‘quality of life’ in cases of medical decision making for individuals with severe learning disabilities. Mencap, 2001 (summary available on www.mencap.org.uk/html/campaigns/health_pubs.htm

Randall F. Recent guidance on resuscitation: patients’ choices and doctors’ duties. Palliative Medicine, 2002; 15: 449-50.

Other sources

Cardiopulmonary resuscitation (CPR) training and risk management strategy. Health and Safety Policy no 4, Newcastle Hospitals NHS Trust. April 1999.

Dautzenberg PLJ, Brookman TC, Hooyer C. Review: patient-related predictors of cardiopulmonary resuscitation of hospitalised patients. Age and Ageing 1993; 22: 464 – 475.

Ebell MH. Pre-arrest predictors of survival following in-hospital cardiopulmonary resuscitation: comparison of two predictive instruments. Resuscitation, 1994; 28: 21-25.

Elwell L. The no-CPR decision: the ideal and the reality. Journal of Palliative Care 2000; 16: 53 – 56.

Ethical decision-making in palliative care: cardiopulmonary resuscitation (CPR) for people who are terminally ill. Joint working party between the National Council for specialist palliative care services and the ethics committee of the Association for Palliative Medicine of Great Britain and Ireland, August 1997

George AL, Folk BP, Crecelius PL Pre-arrest morbidity and other correlates of survival after in-hospital cardiopulmonary arrest. American Journal of Medicine 1989; 87: 28 –34.

Murphy DJ, Burrows D, Santilli S. The influence of the probability of survival on patients’ preferences regarding cardiopulmonary resuscitation. New England Journal of Medicine, 1994; 330: 545 – 549.

Smith S. The role of the court in ethical decision making. Clinical Medicine (Journal of the Royal College of Physicians of London) 2001; 5:371-3. Willard C. Cardiopulmonary resuscitation for palliative care patients: a discussion of ethical issues. Palliative Medicine, 2000; 14: 308 – 312.

Further information resources

National Council for Hospice and Specialist Palliative Care Services: www.hospice-spc-council.org.uk/index.htm

Resuscitation Council: www.resus.org.uk